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**PEX168 + simvastatin** is a combination of two pharmaceutical agents: pegloxenatide (PEX168), a long-acting glucagon-like peptide-1 (GLP-1) receptor agonist primarily investigated for type 2 diabetes, and simvastatin, an oral HMG-CoA reductase inhibitor ("statin") widely used to reduce cholesterol levels and prevent cardiovascular disease. The combination has been studied for potential pharmacokinetic interactions and efficacy/safety in type 2 diabetes contexts, with simvastatin acting by inhibiting cholesterol biosynthesis and pegloxenatide by enhancing glucose-dependent insulin secretion and reducing glucagon secretion. Mechanistically, the pairing targets both dyslipidemia and glucose control.
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